Individual
DR. CHRISTINE MIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5225 CANYON CREST DR, #309, RIVERSIDE, CA 92507-6301
(712) 574-3307
Mailing address
5225 CANYON CREST DR, #309, RIVERSIDE, CA 92507-6301
(712) 574-3307
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8177
IA
1223P0221X
Pediatric Dentistry
24782
NJ
1223P0221X
Pediatric Dentistry
54316-1
NY
1223P0221X
Pediatric Dentistry
Primary
61151
CA
Other
Enumeration date
12/02/2005
Last updated
04/23/2014
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